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Contact Information

ELEONORA TATASHADZE, PROVIDER
6613 FINEGAN DR
DAYTON, OH45424-7112
 Phone: 860-726-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Modifications

171WH0202X
Indicates primary specialty

NPI Profile & details for ELEONORA TATASHADZE · (Female)

NPI Number 1639460371
Status Active
Credentials PROVIDER
Entity Individual
Enumeration date 04/28/2011
Last updated 12/24/2020 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 0000493
  • OH License # 4203630
  • OH Other 4203630 STATE OF OHIO CERTIFICATE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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